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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63 -4 1
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Inspection: f
L L
Footing Susp. Ceiling Sp ink. Rough-in A Ik +' `
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top :ut Elec. Rough-in FINAL:
G
-
Post/Beam Mech. San. Sewer Gas Line -Bldg. N
Plbg. Underfloor Rain Drain Framing 4 '
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd.
Data Requested: ` I .S ` � (` Time: AM PM a
Address: xy
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Builder: �v �( L 7 �+ PA/rmit #� )t
THE FOLLOWING CORRECTIONS ARE REQUIRED: C_.
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Ins actor; Date: a
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_APPROVED __DISAPPROVED APPROVED SUBJECT TO ABOVE ¢'�e'
Call For Reinsp.
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CITY OF TIGARD MECrIANICAL.
P'ER'MIT
COMMUNITY DEVELOPMENT DEPARTMENT FERMI #• . • » • • • = ME:C9 u''`*0
13126 SW Hall Blvd.Tigard,Gngon 97223•B/gg (503)639.4171 DOTE I SSU`.:D:
F'ARCE.L: 26 1 10CC--20600
S T.Tl AD1 RI' C�S 1 ?:1F3
SW K i NG GEORGE DR
SUBDIVIS ION. . . . 1_CIhIINC,;
BLOCI<. . . . . . . . . . . L.OT. . .. . . . . . . . . . .
CLASS MO! WORK. . :ALT
___------ FI__OOR T=URN. . . . : CVAF' COOL E.Ra: v�
TYR'F OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANG. . . 0 r
OCCUPANCY GR1='. . :AI k;ENTr W/0 APPL.: 0 VEW S:iYSTFMS: 0
STOR- IES. . . . . . . . : 0 B01L.E.RS/CC1MF'RESSORS HOODS. . . . .. . . : 0
f-iJEL_ i Y1='CS __.______..__. --3 I{F. . . . : DOMES. I Nf I N: 0
3-15' HF'. . . » : COh1ML. I NC I N: 0
MAX ,'.NPL.I'T: 0 BTLJ 15--3121 HF''. . . » : 0 RE'F'A T R UN T TS: I
F 7 RE DAMF'EV: 7. . : 30-50 HP. . . . : Q. WOODSTOVES. . : 0 �
GAS F'RESGURE. . . 5171+ HPI. . . . s N CL-0 DRYERS. . : 0
IUO. OF l.1NT fSi- _-- ---- -- AIR HANDLING UNI,m) OTHER UNITS. : 1
FURN ( 100K IyTU: 0 (= 1.0000 00 c.f m : 0 GAS OUTL-ETS. : 1
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks ; Replacing electric water heater with a gas W/H.
Owner: ___.__-----__.—_.__._.__._..__ _____.._.___-_--_______.-._____.____-- FEES
ARIDGE.fl, CLYDE. type amol_tnt by date recpt
12382 SW KING GEORGE, DR F'RWr `k 25. 00 CJS 11/28/95 KING CITY
R'CT $ 1. 25 CJS3 11/213/95 KING CITY
KING CITY OR 97.:24
Phone #:
Contractor
F'C'WER RL-UMD I NG CO
F'O BOX 23144
TIGPRD OR 972E 1
PI-rnne #: 1 '44--19. 00 25 TOTAL-
------- REQUIRED I NSF'EC:.T I ONS — -_—This permit is issued subiect to the regulations contained in the Gas Line ?nsp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
apolicahle laws, All work will be done in accordance with Misr I; spect ion
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or it work is suspended for more
than 180 days,
Permittee S i q n a t r_t r-e:
l s st_ted Ely :
Call for inspection — 839-4175
now
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MECHANICAL I
CITY QF TIGARD .PERM I T'
. . . . .
PERM I T' #. . . . . . . : MEC95040:'
0OMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/C2.8/95
13125 SW Hall Blvd.Tigard,Onpon 97223.81011 (503)630.4171
PARCEL: 2SIlOCC-20600
s S I TL ADDRESS. . . : 12382 SW KING GEORGE DR
y' I SUBDIVISION. . . . . ZONING:
P.1_gCi;. . . . . . . .. . . L.OT. . . . . . . . . . . . . .
CLASS OF WO RI;. . :ALT FLOOR FURN. . . . : 0 I VAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :Al. VENTS W/O i4PP1_: 0 VENT SYSTEMS: 1t)
STORIES, . . . . . . . : 0 POILERS/COMPREF35ORS HOODS. . . . . . . : 0
FUEL 0-3 1•4p., . . ,, : 0 DOMF5. INCIN: 0
■
3-15 HP. . . , . 0 COMML. INCIN: 0
MAX INPUT'. 0 BTU 15 30 14P. . . . : 0 REPA 1 I3 UNITS: 0
F IRE DAMPERS?. . t 30-50 FIEF. . . . : 0 WOODSTOVES. . : 0
IFAS PRESSURE. . 50+ HP. : 0 CLO DRYERS. . : 1D ■
NO. OF LJN I TS-------•----- AIR HANDLING UNITS OTHER UNITS. : 1
FURN ( 1001! BTU- 171 (- 10017.11Z1 rf m : 171 GAS OUTLETS. : 1.
FURN ) =1016K BTUs 0 > 10000 c:fm : 0
Rema,-I.(s : r;.. Dicing el.ectric water heater with <A gas W/H.
Owner: --__.__-_....._._____....---..._._...�__. _.._.- FEES '. _._.._
POWER PI_LJ ING � type amo+.trit by date rec� t
852:5 SW IRHER BLVD I� ` PNMT $ 2r,". 00 CJS 11/28/95 KING CITY
` 5PCT s 1. 25 CJS 11/28/95 KING CITY
j
PORTLAND OR 97
Phone 0: 503--244 1900
Contractor :
POWER PLUMBING CO
PO BOX :3144
TIGARD OR 972031
Phone #: 244-- 900 26. 25 TOTAL_
Req #. . . 52378
--- _-- REQUIRED INSPECTIONS
---_
This permit is issued subiect to the regulations contained in the Gas Line Insp
T,gard Municipal Code, State of Ore. Specialty Codes and all other Mecrhanical Insp
applicable laws. All work will be done in accurdance with Misc. Inspection
approved plans. This permit will t:+pire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for morethan 180 days.
P e r m i.t t e e S i q r a t u r e:
Call for inspection - 639--4175
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MECHANICAL
CITY OF TIGARD r'E... .
F'F�RMI T #. . . . . . . ; MEC95--0402.'
COMMUNITY DEVELOPMENT DEPARTMENT D(-ITE ISGUED r
13125 SW Hall Blvd.Tigard,Oran;n oi223WN (503)M-4171
1 PARCEL. 2S 1 10CC-20600
+
SITE ADDRESS. . . : 12:382 5W KING GEORGE DR,
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . I
-----------------------------
CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :A1 VE N , S W/O APPl_ : 0 VENT SYSTEMS: IJ_r
STORIES. . . . . . . . : Q BO.'L.ERS/COMPRE S3ORS HOODS. . . . . . . : 0
FUEL TYPES-------------- 0-3 HP. . . , 0 DOMES. I NC I N; 0 �
3-15 IIF'. , . . 0 COMML_. INCIN; 0
' MAX INPUT» 0 BTU 15 _30 HP. . . . : 0 REPAIR UNITS: 0
F RE DAMPERS?. . 30-50 HP. . . . 0 WOODSTOVES. . : 0
{ GAS F-DRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. .
NO. OF UNITS—•-----•—•-•-- AIR HANDLING uN I'rS OTHER UNITS. : 1
I`IJRN ( 100K I3'TIJa VN ( 1.1Z11�100 -,Tm : 0 CCAS OUTLETS. : 1.
TURN ) =100K BT(.1: 0 > 10000 cf In : 0
Reivarl•(s : Replaciny electric water heater- with .a gay W/H.
Owner.: FEES
POWER F11_UI Jl.)G typ(:' amol.lnt by date recpt
8525 SW IRBER BLVD �" PRMT a 25. 00 CJS 11/28/95 KING CITY
1. 25 CJS 11/28/95 KTNr CITY
f-'URTi_c)i 1D OR 97
Phone #; 503-244-1900
Cor.tr-actor:
POWER PLUMBING CO
P'Cl BOX 1.-'-'3144
a
T I ORD OR 9728:
Phone #: 244--:900 26. 25 TOTAL
Rc p #. . 52370
REQUIRED INSPECTIONS
This persit is issued subject to the regulations contained in the Gas Line I rr s p -.�__..____�__ _.-.�
Tigard ` icipal Code, State of Ore. Specialty Codes and all other Mer_,hanir_al Insp
anp'icable laws. All work will be done in accordance with Misc. Inspection
app oved plans. This persit will e.rp;, _ if work is not started Final Inspection
wit lin 180 days of issuance, or if work is suspended for sore
than 180 days.
r
1'ermitt:ee Si gnatl.lre:
i =s1-ted By : ?4�. �___, "ltCrl! f_______
Gall for- inspection - 639-_4175
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' -MAY-02-'00 WED 02:59 ID: FAX NO: #209 P01
4L In 95--
c ity
ti-City of Tigard MECHANICAL PERMIT
Hall Blvd. APPLICATION M x°,pac•R
13125 sw Ha ►
>ost-It brand fax tan: ,�ttal memo 7671
trror+ /
Tigard, OR 97223 �
(503) 639-4171 5�---- n
co. ,
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phone ., •7
Table SA Machan-j"`"/ C�•- ,, -
Job 1) Permit Fen
4- -0• 10,00
Address -?jFr=r-•--- no -
2) Supplemental Permit 3.00
(IF AWA TrS� urnace--15 .0ou is I T- -- -
�1 v >sW 1iYS�i�_
i) incl.duos b van® 6,00
umace 1100,0M BTU +
Owner 2) incl, duos&vwnts 7,60
Flooir umanca ri
31 ind rem 6.00
fleWar,tYworm
A) or flour mounwd haator G_00 _
175Tn6FrrriiTTF—"---
UCCUpAflt 5) appliance Parma 3.00
ooarr o dating;ra ng. -!
8) cooling, rbserptlon unit 6.00
J, � Hotter o;cornpTwa upup mp,av ca
NSI 0 7) to 3 HP;absorp unit to 100K BTU a 6.00
8oller or comp,UP pump,air w—.
Contractor —' 740 FU 8) 3-16 HP;absorp unit to.500K BTU 11,00
���- ollor or civnip,Mat pump,av corms.
9) 15.30 HP;absorp unit .5.1 mil STUt 15.00
M ee or comp, eaTi puT mpF'666—'
air -
rI r
16) 30.50 HP;r bsorp unit 1.1.75 mil BTU 22.50
re y ackn-o-wWqa matave re i&aP-P-rr--aGon,mat IF3 T de or-romp,heat pump,air con
Information given is correct,that I am rhe owner or authorized agent 11) -� 50 HP;absorp unit 1 75 mil 3TU 37.50
M of d,v owner.that plant submined era in oornprianea with Slate _--
lays,that 1 am registered with the Construr.•tion Genvutor•s Board, 12) 10,000 CFM 4,50
that die number given is cormat (If arampt fr.nm Srate reglstratien, Air h4ndling u ht -"
please glva raacon halnw.) 13) 10,000 CTM• 7.60
Nun patuble
14) evaporet9 coolw 4.50
vont tan conn-9c4KF --_
-_-�k 15) to a single(juct 3.00
16) included in appliance pormil 4b0
--
17) rnachan cel a.rhaut:t 4,50
asen wo new U a Ion - alteration repair u Commercial orTn3ustn-V-
In he done residential O nor-meldrintial Q 18) type incinerator 30,00
xisling lista o � Other t,e.,w r(ova,waw —
building or prolwrty Fill 'i 13) heater, soler, dothos drywrN,arc 4.50
Proposed use of 20) Gas piping one to four outlets / 2.00
building or property -------- ------ --
21) More than d-par outlet
Type of fuel oa Q natural pas QJ/ I PG O electric CJ --- --- -- .-----
- Minimum Fee$25.00 SUBTOTAL -:254
PERMITS BECOME VOID IF WOR,:OR CONSTRUCTION
AUTHORIZE)15 NOT COMMENCED WI nlIN 180 DAYS.OR 5`56 SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR ---
ABANDONED
ABANDONED FOR A PERIOD Or 190 DAYS AT ANY TIME PLAN HENIEW 25%OF SUBTOTAI.
AFTER WOPK IS COMMENCED, ---------- ---
TOTAL
Special Conditions
-- - - Data Issued_ �1 -.+0 7 _9� _by T
Ii d �
. PERMIT
CITY OF TIGARDEMECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMTT #. . . . . . . : MEC95-- 1399
13126 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)939-4171 DATE ISSUED: I 1/27/95
PARCEL.: 2S 1 1171CC- .0W0
SITE ADDRESS. . . lc'313c: SW KING GEORGE DR
SUBDIVISION. . . . : 70N I NG:
PI...00I;. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. ALT FLOOR TURN. . . . : 12) I_''VAP COOLERS: O
TYPE~ OF USE=. . . . :SF UNIT HEATS NS. . : O VENT FANS. . . : 0
OCCUPANCY GRP_ -Al VENTS W10 f=P!--'L_: 0 VENT SYSTEMS): 0
STORIES. . . . . . . . : 0 BOILERS/LOMPREGSORE) HOOD,. . . . . . . » 0
FUEL TYPES-_--------••-- 0-3 HP. . . . 0 DOMES. II\ICIIV. 0 �
- /GAS,/ / i .:,-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 PTU 1.x...317.1 111='. . . . : 0 REPAIR UNITS. 0
FIRE.' DAMPERS?. . : ..VI-50 HP. . . . : 0 WOODSTOVE=S. . : 0 �
GAS PRESSURE. . . 50+ HP. . . . 0 CLO DRYERS. . 0
NO. OF UNIT'S--___.__.______ AIR HANDLING L1NI7S OTHER UNITS. 0
F URN < 117.10K RTU' 1 < 117100171 r,fm : 0
F'URN ) =100K PTU: 0 ? 11 000 cf in : O
RemArks : Tnstall y.as f1_trnikcre to 100K 13TU and gay pining.
Owner: ____.__._____._____._..._. _.._._._.______ _______._ _________._ FEES
P & T GAS '" _RVICES IN{, C type �amol_tnt Iry date recpt
! 82'8 5 STH AVE PRMT E 18. 00 CJS .11/27/95 KING CITY
' SrCT $ 0. x317.1 CJSi 1. 1/27/95 KING CITY
BEAVERTON OR 97007
F'honp #: 5,03,-624--, 243
>I
P & T GAS SERVICE, INC:.
58135 53W 1.77TH OVENUE
AI..C)HA OR 97007
Phone #: $ 18. 9x71 TOTAL_
1
Rey #. . : 91104
.2EC.?U I RED INSPECTIONS
-This permit is issued subiect to the regulations contained in the Gas Line Insp
Ticard Municipal Code, State of Ore. Specialty Codes ano all other Me man i c a l Insp
apolicabie laws. All work i.ill be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Sipnatl_rreli
I s s i..l e d P V :
Call for inspection - 639 -4175
171
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MAY-01-'00 TUE 21:54 ID: FFix74Ci: >:i207 P01 .
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,1 G-'u, -U'ln k"w- Plost-It'-brand fax transmittal memo 76TI N of p•y�.
City of Tigard MECHANICAL PER, ITT -� From
13125 SW ball Blvd. APPLICATION �L Co.
Dept I Phone
Tigard, pR 97223 7 Fox 11 r_`� 9- 317/
(503) 639-4171 —��-J----- �—
TabW 3A t�WOW"OW code aTY PRICE IWT
job �Z�8Z 2� �
1) Parma Fast a a t0.ofl
Addf9iS Gum& L11
2% Supplen►tag04 Parmk 3100
ngosbib
. `
1) inti dulls s VQ"b 800 Ca-csa
yALP _r� — tmtrta 00, 750
23 z �� z) Ina.sloes=a%lam
Owner w u� 6.00
3) ina vsn<
4) Or NOW !ttEwYrr 6.00
��� «► rot to 3.00
OCCUPWT 5) app&—p—a
e) cx+n".abwNpion Wkk _. --
or or CWT.TWAM wma. E.00
1 7) 10 3 HP ab=P t": 10 1aoK BTU _
W1W or orntp-Ttert pump.ar
8) 3-15 HP a"unit M 500K BTU 11.00
Contractor ">� or taop. WmP,nu
ty_10 HP abso unit.S1 m19TU 15.00
.•n _ lm or arrnp,heat PUMP.4.r
10) 1060 HP absorP untl 1.1,-M mtl BT11 n _
va r+ s aPr� a t"ra'npTiaal p+rtlD.as au
• t 11) a 6o HP absotp unrt 1 75 nit BTU
inipmtnl)on glwtn h taDrrwt U1at,wm r11u Owrwr a audtar¢ed agm b �—
of the ewnar."I plant sub mimW WO in r,ompFarmm*Nh QW _d 12) 10000 CFM 1.50
(aw 'drat 1 am reglewmd W"The cm2buo0m Cords +r _.
lost Me number gluon k—*OL (If sxompt 6—%MIA(eglck*N 0�� r. 7.60
pleaso give novas n below.) _ 13) 10.000 CTM r
_ -_...__ on p-u-%9 ----- ---
14) avap zu oca- --
ant 1
--
15) to a tirtgla duet 3.00
V. ebait xyslarn nor
induded in appim—Ke P"mit4.50
" 17) medtattld mdtaust 4.60
�- �� ai n
WxAY'" 30.00
new inrtrtr.ator
m be ttbna residan ' Q nert.rotddctrttiat Q 18)
e.t.a.tatoWW.twabx
Ong use tfl) tweet►.salsr.dud—dryers,e'er. 4.60
1 p) Gss P4;ing oro b to+x outlets 200 s CID
propotacl uca of
bulldtnp or PrOperp� �-____� - --- — 21) Mae M►son pw oudd
Typo of fuel.on Q nanxnl gas Q LPn Q OW(MV.O
Minimu Fee 575.00 SUBTOTAL
PERMITS BECOME VOID IF WORK rN!CON,1WCT" 514 gURCHARCE + t'
AUTHORIZED 15 NOT OOWMENCED WITHIN ten DAYS.OR �_
IF CONSMUCTIOK OR WORK 13 SUSPENDED OR /
ABANDONED FOR A PERIOU OF 180 UAY3 AT ANY TIME pLAN pEVIt-W 25%OF SUBTOTAL 10
AFTER WORK 19 COMMENCED,
TOTAL
Dales iti+rrtd ! �- �- .F by